Routine inspection·January 30, 2023

Licensing Program Analyst (LPA) Mario Leon conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA was met by Diane Sigur, Administrator. The purpose of today’s visit was explained. The facility is licensed to serve 4 elderly clients (aged 60 and above). There are currently (3) elderly clients in placement. All three (3) clients are ambulatory. The facility is a single-story structure located in a residential neighborhood. Mrs. Sigur and LPA Leon made a complete tour of the facility which consisted of the following: Living room, three (3) bedrooms, two (2) bathrooms, dining area, kitchen, laundry room, detached garage, shaded area, indoor/outdoor activity areas. Bedrooms #1-2 are designated as the client's bedrooms. Bedroom #1 hosts two (2) clients, Bedroom #2 has one female client. LPA and administrator toured the physical plant. There are no bodies of water or firearm/ammunition on the premises. All client rooms were checked. Beds and bedding were in good condition, adequate lighting provided, storage for client personal belongings was observed. Walls and floors were in good repair. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were clean and operational, yet outside of Title 22 regulations. The water temperature measured 153.5 F in bathroom #2. A comfortable temperature is maintained in the facility at 69 F. LPA observed the facility to be clean and appropriately furnished at the time of visit. Storage areas for cleaning agents, toxins, and sharps were inaccessible to clients. The kitchen was inspected and there is enough perishable and non-perishable food available, which is stored properly. Fire extinguisher was charged, smoke detectors and Carbon Monoxide need to be updated. SEE LIC 809-C During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff and residents, sanitizing stations (located in common areas and restrooms). LPA observed staff were wearing face coverings, an isolation room and required postings throughout the facility. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE), located in the detached garage. LPA advised the Administrator to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PINs) for any updates relating to COVID-19 guidance. During today’s visit there were two deficiencies cited, see LIC809-D. Exit interview held with Diane Sigur. A copy of the report was provided to Diane Sigur, Administrator.